Tension-free vaginal tape obturator system in the treatment of stress urinary incontinence.

Surgical approach to the treatment of female stress urinary incontinence has changed significantly since 1995, when Ulmsten first described the procedure providing tension-free support in the middle part of urethra. Although retropubic placement of TVT tapes seemed to meet all the standards of minimally invasive surgical procedures, the occurrence of complications (bleeding, hematomas, and bladder, urethral of intestinal injuries) necessitated a new obturator approach. This study presents a transobturator approach to TVT tapes placement (Gynecare, Johnson-Johnson Company) with "inside-out" technique, first shown by De Leval in 2003. During 2005, 6 TVT tapes for stress urinary incontinence treatment were placed at the Clinic of Gynecology and Obstetrics in Novi Sad without any intra or post-operative complications.